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99080040
7 c) -* 99090040 PERMIT APPLICATION FOR CITY OF CUPERTINO NUMBS INSPECTION DIVISION PERMIT EXPIRATION REROOF PERMIT (408)n7-3228 PERMIT EXPIRES IF WORK 15 NOT STARTED WITHIN 1W DAYS OF PERMIT ISSUANCE OR 1W LAYS FROM LAST CALLED INSPECTION. BUILDING ADDRESS _ ( � C W S S , (r4 RESIDENTIAL COMMERCIAL OTHER OWNER'S HAZARDOUS FIRE AREA NAME ��-T 1U q I `—" y YES ❑ It yes—I understand that a Class A root assembly Is required. NO ❑ Initial I.C.B.O.p EXISTING ROOF COVERING ADDRESS / PHONE L - NUMBER OF EXISTING COVERINGS -I CONTRACTOR'S W�5-�Sh.sre J �"'"� v'' 1 '� 1 TO BE REMOVED TO BE RETAINED NAME C ADDRESShh TYPE OF VERING CITY a ZIP C1 ta.l It ltk� l i it l) l3(v4N a PHONE 6. EXISTING // 3 ( 0es �/ ��L/ BUILT-UP ROOF ❑/ LICENSE NUMBER / ✓ / ASPHALT SHINGLES LICENSED CONTRACTORS DECLARATION I hereby affirm that I am Ilcensad under proydslons of Chapter 8(commencing with Section WOOD Sl 70(X)of DMabn 3 of the Business and Professions Coda,and my license is In full brae and erect. C- 3 � 3 WOODS INGLESr l% - Llamas lase _ Up.Number Date Connector JeCnpi OTHER I1' W(7L)� 9 [ 199 OWNER-BUILDER DECI.A ION PR J JJ I hereby affirm that I am exempt from the Contractors License law for the folbwirig reason. (Sec.7031.5,Business and Professions Code: Any city or count'which requires a permit to construct,for or,improve,demoto file signed n d uta em structure e,pdonb its issuance,to ins q ova s the BUILT p I—I applicant for arch permit to file a sgned statement that he Is Ilceneetl pumnce,al ifo,uIr sloes � of the Contractor's License Law(Chapter O pommellwith Section 7010)of Divlsbn 3 of the Business and Prof rsams Com)or that he Is exempt therefrom and the'Wele for the alleged ASPHALT SHINGLES exemption.Arty,vldatlon of Section 7031.5 by any applicant for a permit sub{acts the applicant to e cMl penalty of not more than five hundred dollars($500).): [D 1, "norEl1,as of the property,or my employees with wages as their ads compensation,will do WOOD SHAKES the work,and the simcture Is nor intended or off read for We(Sec.7044,Bushes and Prof rs- - Fit /'� dons Code:The Cantractor'e Ucense Law does nor not appy to an owner of property who bulbs on WOOD SHINGLES M 1 imposes thereon,and who does such work himsel or through file own employees,proOded Nat ❑ such 4npro,eements are not intended or offered for We.If,however,the building or improvement ^ is sdtl within one year of completion,the owner-builder will have the burden of proving that fb dd OTHER(SPECIFY) not Wild or Improve for purpose of Gale.). ❑I,as comer of the property,em exdueNey,contracting with licensed contractors to construct N�' ✓l //�� the freest(Sac.7004,squarest,and Pmiesebrre Cade:The Con rador's Ucenae Lew does not PROVIDE I.C.B.O.REPORT NO. apply to an owner of property who bulbs or bpnowes thereon,and who contracts for such projects with a contractor(s)licensed puauent to me Coniredore Lbense Law. PROVIDE Ml INSTALLATION SPECS. ❑I am exempt under Sec. ,B&P.C.Lor this reason Owner - Data WORKER'S COMPENSATION DECLARATION APPLICATION DATE VALUATION PERMIT FEE I hereby affirm under penalty of perjury ons of the following declanation: ❑1 have and will maintain a Cenlncate of Consent to sel4naure for Worker's Compensation, Building as prwlded for by Section 370for th 0 of the Labor Code, e performance d the work for which this permit is asued. ❑1 have and will malntdn Workers Comp rramion Insurance,as required by Section 3700 of //b,/ SiLabor Code,for the performance of the work for which this pemllt Is issued.My Workors y/ G/ b Total 1 Compensation I�n `'rence carrier and Popsy number are:, .-y Carrier S ` �'tC I'1/=/�{J Policy No. 2 ��7 ;PERMIT-AUTHORIZATION DATE CERTIFICATE OF EXEMPTION FROM W(DRKERS' COMPENSATION INSURANCE N.CQ (ThU ski need not be completed If the permit is far ane hundred dollars($t DO)w less.) I curtly that In the performance of me work for which this permit is Issued,I shall not employ any person In any manner so com as to become subject to e Workers'Cortpbr ansatIaws of call- • . All roofs shall be inspected prior to any roofing material being forms. installed. If a root is installed without first obtaining an Date Applicant inspection,I agree to remove all new materials for inspection. subject apoWorrkTO eac cope;�tionp�rovisiong nsofteelLaatborCode,yypti011,muus"shoak for �`gpmplyy Applicant understands and will comply with all non point with such proylsbns or Was permit shall be deemed reaoked. source regulations. I tartly that l have reed this npplicatbn aril state mat mis above Information Is correct.l agree to compy with all city ane crony ordinances and state Lown rdawg to Wilding conafnxlbnand All roof coverings to be class' or be her"e pu'los7e repreaenlathae of this ply to enter upon the ebwe menibrod prop"for in- ` ,r ep(We) purposes. (We)spree to save.Indemnify antl keep harmless the City of Cupertino against Iledlltiee, Yl (udgments,coats and ex asi which may in arty way accrue agelnd said City In consequence 10 of the granting of Ws Permit. SIGNATUR F PPLICANT DATE PRE-INSPECTION: PLYWOOD: IN-PROGRESS: INSP. DATE INSP. DATE INSP, DATE TEAR OFF INSPECTION: BATTENS: FINAL: INSP. - DATE INSP. DATE INSP. DATE NOTE: OSHA APPROVED ACCESS TO ROOF SHALL BE PROVIDED FOR INSPECTION OFFICE COPY Building Permit Fee Code Checklist Qty. if Applicable Fee ID Fee Description Fee Group ELG EW� fiiQt4SEBFaTIG,•°.X. ,� Hl4ltQINGr� t:„ BCONSTAX CONSTRUCTION TAX BUILDING lop BENERGY ENERGY BUILDING BENERGYADD ENERGY ADD MULTI BUILDING BOVERTIME INSPECTION OVERTIME BUILDING BPERMFEE BLDG PERMIT FEES BUILDING BMITIGAT HOUSING MITIGATION FEE BUILDING BPLANCHK PLAN CHECK FEE BUILDING BPLANCKADD PLAN CHECK ADD MULTI BUILDING BPLANCKREP PLAN CHECK REPEAT FEE BUILDING BREINSPECT REINSPECTION FEE BUILDING BSCBLVD SCB SPECIFIC PLAN BUILDING BSEISMICOM SEISMIC COMMERCIAL BUILDING BSEISMICRE SEISMIC FEE RES BUILDING BSPECIAL SPECIAL INSPECTION BUILDING BSWIM SWIMMING POOL BUILDING ZADDCHG ADDRESS CHANGE BUILDING E@ QQ'6' EEEE�TRIC� P"x BELEC1001 ELEC 600V >1000A ELECTRICAL BELEC200 ELECT SVCS 600V <=200A ELECTRICAL BNEWMULTI MULTIFAMILY RES ELECTRICAL BREMBUSWAY REMODEL BUSWAYS ELECTRICAL ; •' BREMFIXT LIGHTING FIXTURES ELECTRICAL BREMMISC MISC APPARATUS ELECTRICAL BREMNRAPP REM NON-RES APPLIANCE ELECTRICAL BREMPOLE POLEIPLATFORM FIXTURE ELECTRICAL BREMPOWER POWER DEVICEIAPPARATUS ELECTRICAL BREMRECEPT RCPTL, SWITCH &OUTLETS ELECTRICAL BREMRESAPP REMODEL RES APPLIANCE ELECTRICAL BREMSIGNAD RMDL SIGNS ADD BRANCH ELECTRICAL BREMSIGNS REMODEL SIGNS, MARQUEE ELECTRICAL BREMTHEATR THEATRICAL LGHTNG FIX ELECTRICAL BSF&2FAM SINGLE &2 FAMILY ELECTRICAL BTEMP TEMPORARY POWER ELECTRICAL BTEMPSVCS TEMP DIST SVCS ELECTRICAL EPERMITFEE ELEC PERMIT ISSUANCE ELECTRICAL B' EW'�IBE� (itEC-FfRNIE'AC BBOILERI BOILER <= 100,000 BTU MECHANICAL BBOILER2 BOILER >100KTO500K BTU MECHANICAL BBOILER3 BOILER >500K TO 1M BTU MECHANICAL BBOILER4 BOILER>lM TO 1.75M BTU MECHANICAL BBOILER5 BOILER > 1.75M BTU MECHANICAL BREMACOVER AC UNIT>10000CFM MECHANICAL BREMAPPLI _ APPLIANCE INSTALL MECHANICAL BREMHEAT HEATER INSTALLATION MECHANICAL BREMVENFAN VENT FAN SINGLE DUCT MECHANICAL • BMNEWMUL I I NEW MULTI-FAMILY RES MECHANICAL BMNEWSF&2F NEW SF&2F RES BLDGS MECHANICAL Building Permit Fee Code Checklist BREMAIRHAN A/C UNITS <= 10,OOOCFM MECHANICAL • BREMFURN RELOCATION OF FURNACE MECHANICAL BREMFURNOV RELO FURNACE > 10K BTU MECHANICAL BREMINHOOD INSTALLATION OF HOOD MECHANICAL BREMRELOCA RELOCATION OF HOOD MECHANICAL BREMREPALT REPAIR/ALTER HEATING MECHANICAL BREMVENSYS VENTILATION SYSTEMS MECHANICAL MPERMITFEE MECH PERMIT ISSUANCE MECHANICAL ZQErlF{G�Pr1+ ss ©MEMEME Rt 'GREEMEN:Z;� EL:41NNINGt, ZDIRTM DIR TENT MAP PLANNING ZFULLHR FULL APPL BASE + HR PLANNING ZFULLTM FULL APPL TENT MAP PLANNING ZFULLUP FULL APPL USE PERMIT PLANNING ZFULLZONE FULL APPL ZONING PLANNING ZGPAMEND GENERAL PLAN AMEND PLANNING ZLIMAMEND LIMITED AMEND PLANNING ZLIMTM LIMITED TENT MAP PLANNING ZLIMUP - LIMITED APPL USE PERMI PLANNING ZMATEMPUP MIN AMEND TEMP USEPERM PLANNING PZ7MISCEXT HILLEX MINOR APPL HILL EXC PLANNING SIGNEX MISC SIGN EXCEPTION PLANNING M MINOR APP TENT MAP PLANNING UP MINOR APPL USE PERMIT PLANNING CASA MISC ARCH SITE PLANNING MISC TM AND UP EXT PLANNING ZMISCFENCE MISC FENCE EXCEPTION PLANNING ZMISCGEN MISCELL APPL GENERAL PLANNING ZMISCPCINT MISC PC INTERPRETATION IPLANNING ZSIGN SIGN FERMI IPLANNING ZTEMPSIGN TEMPORARY SIGN PLANNING ZVARIANCE DIRECTOR VARIANCE PLANNING Mme_ �tMa E §&cssu = Fir�t�net�tGr N BNUMULTI NEW MULIFAMILY RES PLUMBING BNUSFD NEW SINGLEFAMILY RES PLUMBING BPBACKFLOW ATMOSPHERIC VACUUM PLUMBING BPCESSPOOL CESSPOOL PLUMBING BPFIXTURE PBLG FIXTURE PLUMBING BPGAS GAS PIPING SYSTEM FEE PLUMBING BPINTERCEP IND WASTE INTERCEPTOR PLUMBING BPREPIPE REPIPE OF FIXTURES PLUMBING BPSEWAGE SEWAGE DISPOSAL PLUMBING BPSEWER SEWERS PLUMBING BPSPRINK LAWN SPRINKLER/BACKFLO PLUMBING BPSTORM STORM/RAIN WATER PLUMBING BPTRAP - KITCHEN TRAP PLUMBING BPVENT ALT OF DRAIN &VENT PLUMBING BPWATER INSTALL/ALTER WATERPIP IPLUMBING BPWHEATER WATER HEATER/VENT PLUMBING BPWSVCS MAIN WATER SERVICE PLUMBING CITY OF CUPERTINO - BUILDING DEPARTMENT RE-ROOFING POLICY 1. Prior to permit issuance, you must agree to comply with U.B.C. standards and manufacturers specs on re-roofing. 2. New roof coverings shall not be applied without first obtaining all inspections and written approval from the building inspector. A final inspection and approval shall be obtained from the building inspector when the re-roofing is completed. 3. All types of roofs shall be inspected prior to any roof being installed. 4. In order to receive a final, you must complete steps 1,2, and 3. 1. Pre-inspection or tear-off approval 2. In-progress inspection approval 3. Final inspection approval a. Operable smoke detector verification 5. If plywood is installed, a plywood nail inspection is required. • 6. If any roof is applied without first obtaining an inspection, you will be required to remove all new material down to the sheating and a building inspector will inspect all sheating at that time. IMPORTANT: 1. Flat roofs must have a '''A" per foot slope, or demonstrate that there is no ponding. 2. I.C.B.O. reports are required to be on the job site at the time of inspection. If you do not have one, contact the building department. WE UNDERSTAND THE ABOVE POLICY ON RE-ROOFING AND WILL COMPLY WITH THE POLICY. HOMEOWNER'S NAME: YA'rU v�j - UJe ADDRESS: RE-ROOFING COMPNAY NANIE: (j.) f- ST 54-° KF APPLICANT'S SIGNATURE: • CITY OF CUPERTINO BUILDING DEPARTMENT Re-roo0winword 1NVOICL INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE INVOICE CITY OF CUPERTINO • BUILDING PERMIT INVOICE - OPERATOR: k.renb Sec: Twp: Rng: Sub: Blk: Loc:35701041.00 INVOICE DATE.. . . . . : 08/05/1999 REFERENCE ID # . . . : 99080040 SITE ADDRESS . . ...: 10179 CASS PL SUBDIVISION . . . .... , CITY ..... . . ......: CUPERTINO IMPACT AREA ...... . OWNER . . . . ....... . : YANG-WEI OUN ADDRESS ........ . . : CITY/STATE/ZIP . CUPERTINO CA, CA 95014-2751 CONTRACTOR ....... : LIC # COMPANY . ........ . : ADDRESS ....... .. . : CITY/STATE/ZIP . . .. , TELEPHONE .. . . . . . . : FEE DESCRIPTION CHK TOTAL FEE PAID-TO-DATE BALANCE DUE --------------- --- --------- ------------ ----------- BPERM£EE P 187.00 0.00 187.00 BSEISMICRE P 1.30 0.00 1.30 --------- ------------ ----------- 188.30 0.00 188.30 ID DESCRIPTIONVOICE ID DESCRIPTION .. ............ ............... ----.... ........ ................. 305 FRAME 307 INSULATION 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS • CITY OF CUPERTINO Ito 1 of 1 BUILDING PERMIT RECEIPT OPERATOR: k.renb COPY 9 1 Sec: Twp: Rng: Sub: Elk: Lot:35701041.00 DATE ISSUED. . . . ... : 00/05/1999 RECEIPT q. . . . ..... : 9739 REFERENCE ID ft ... : 99080040 SITE ADDRESS ... . . : 10179 CASS PL SUBDIVISION .... . . . CITY . . . ........ . . : CUPERTINO IMPACT AREA ..... . . OWNER ........ . . . .: YANG-WEI QUN ADDRESS .... . . . ...: CITY/STATE/ZIP ...: CUPERTINO CA, CA 95014-2751 RECEIVED FROM . ... : TIM CONTRACTOR . . ..... : LIC N COMPANY . . . ....... : ADDRESS . . ........ : CITY/STATS/ZIP .. . . TELEPHONE ...... . . : FEE ID UNIT QUANTITY AMOUNT PD-TO-DT THIS REC NEW BAL ---------- ------------- ---------- ---------- ---------- -----""-- _ BPERMFEE VALUATION 13,000.00 187.00 0.00 187.00 0.00 BE MICRE VALUATION 13,000.00 1.30 0.00 1.30 0.00 T PERMIT : 1B8 30 0.00 188.30 0.00 METHOD OF PAYMENT - AMOUNT NUMBER ----------------- ------------ ------------------ CHEC% 188.30 3729 ` TOTAL RECEIPT 198.30 VOICE ID DESCRIPTION VOICE ID DESCRIPTION 305 FRAME 307 INSULATION 601 ROOF TEAR OFF 602 ROOF PLYWOOD NAIL 603 ROOF BATTENS 604 ROOF IN-PROGRESS • 99080040 10179 CASS PL 08/05/199 YANG-WEI QUN SHAKES TO GERARD TILE 0. $12160 35701041 . 00 •